Subacute Cutaneous Lupus ErythematosusPhase 3AMETHYST LTENCT06044337
A Long-Term Extension Study to Learn More About the Safety of Litifilimab (BIIB059) Injections and Whether They Can Improve Symptoms of Adult Participants Who Have Active Cutaneous Lupus Erythematosus
A Phase 3 study testing BIIB059 (litifilimab) in people with Subacute Cutaneous Lupus Erythematosus and Chronic Cutaneous Lupus Erythematosus, run by Biogen at 104 sites in 25 countries.
Trial summary
In this study, researchers will learn more about a study drug called BIIB059 (litifilimab) in participants with cutaneous lupus erythematosus (CLE). The study will focus on participants who have either active subacute CLE or chronic CLE, or both. They may also have systemic lupus erythematosus (SLE). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Subacute Cutaneous Lupus Erythematosus, Chronic Cutaneous Lupus Erythematosus
- What is being tested?
- BIIB059 (litifilimab)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 306 participants
- Where
- 104 sitesin 25 countries
- Study dates
- 3 Oct 2023to 11 Dec 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants who completed the parent study (230LE301 [NCT05531565], Part A or Part B) on study treatment (received treatment through Week 48 and attended the last study assessment visit at Week 52).
- Ability of the participant to understand the purpose and risks of the study, to provide informed consent, and to authorize the use of confidential health information in accordance with national and local privacy regulations.
Who cannot join
- Early Part A or Part B parent study (230LE301 [NCT05531565]) treatment terminators (participants who discontinued study treatment before Week 48).
- Early Part A or Part B parent study terminators [participants who withdrew from parent study participation before Week 52 and did not complete the parent study extended treatment period (ETP)].
- Participants who have developed any other medical diseases, conditions, or abnormalities, rendering their participation in the long-term extension (LTE) study unsuitable in the opinion of the Investigator.
- NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
104 sites in 25 countries. Contact the study team or a site near you to ask about taking part.
104 sites in 25 countries
Japan14 sites
Teikyo University Hospital
Itabashi-ku, Tokyo-To, 173-8606
Kakogawa Central City Hospital
Kakogawa-shi, Hyōgo, 675-8611
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
St. Marianna University Hospital
Kawasaki-shi, Kanagawa, 216-8511
Hospital of the University of Occupational and Environmental Health
Kitakyushu-shi, Fukuoka, 807-8556
Kumamoto University Hospital
Kumamoto, Kumamoto, 860-8556
Nagasaki University Hospital
Nagasaki, Nagasaki, 852-8501
JCHO Chukyo Hospital
Nagoya, Aichi-ken, 457-8510
NHO Nagoya Medical Center
Nagoya, Aichi-ken, 460-0001
Niigata University Medical & Dental Hospital
Niigata, Niigata, 951-8520
Osaka Keisatsu Hospital
Osaka, Osaka, 543-8922
Tohoku University Hospital
Sendai, Miyagi, 980-8574
Yokohama City University Hospital
Yokohama, Kanagawa, 236-0004
University of Fukui Hospital
Yoshida-gun, Fukui, 910-1193
United States13 sites
David Fivenson, MD, Dermatology, PLLC
Ann Arbor, Michigan, 48103
University of Alabama at Birmingham - (UAB)
Birmingham, Alabama, 35233
Thurston Arthritis Research Center
Chapel Hill, North Carolina, 27599-7280
University of Cincinnati Health Physicians Office Dermatology
Cincinnati, Ohio, 45219
UT Southwestern Medical Center
Dallas, Texas, 75390-8896
Duke Dermatology South Durham
Durham, North Carolina, 27710
Precision Comprehensive Clinical Research Solutions
Grapevine, Texas, 76034
Dermatology Research Associates
Los Angeles, California, 90045
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Arizona Arthritis & Rheumatology Research, PLLC
Phoenix, Arizona, 85032
Saint Louis University
St Louis, Missouri, 63110
Revival Research Institute, LLC
Troy, Michigan, 48084
Inland Rheumatology Clinical Trials, Inc.
Upland, California, 91786
Brazil9 sites
L2IP - Instituto de Pesquisas Clínicas Ltda.
Brasília, Federal District, 70200-730
CMiP - Centro Mineiro de Pesquisa
Juiz de Fora, Minas Gerais, 36010-570
Hospital de Clínicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Nucleo de Pesquisa Clinica do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90430-001
LMK Serviços Médicos S/S Ltda
Porto Alegre, Rio Grande do Sul, 90480-000
IDERJ - Instituto de Dermatologia e Estética do Brasil Ltda
Rio de Janeiro, 22470-220
Clínica SER da Bahia
Salvador, Estado de Bahia, 40150-150
IPC MT Instituto de Pesquisas Clinicas do Mato Grosso
Santo Ângelo, Mato Grosso, 78020-500
CEPIC - Centro Paulista de Investigação Clínica e Serviços Médicos
São Paulo, São Paulo, 04266-010
China8 sites
Beijing Tongren Hospital, Capital Medical University
Beijing, Beijing Municipality, 100730
The second Xiangya Hospital of Central South University
Changsha, Húnánsheng, 410011
Dongguan People's Hospital
Dongguan, Guangdongsheng, 523059
Nanfang Hospital of Southern Medical University
Guangzhou, Guangdongsheng, 510515
The Second Affiliated Hospital of Kunming Medical University
Kunming, Yun'Nan, 650101
Hospital for Skin Diseases, Chinese Academy of Medical Sciences
Nanjing, Jiangsu, 210042
Shanghai Skin Disease Hospital
Shanghai, Shànghaishì, 200443
Shenzhen Second People's Hospital
Shenzhen, Guangdong, 518029
Germany7 sites
Fachklinik Bad Bentheim Dermatologie
Bad Bentheim, Lower Saxony, 48455
Charité - Campus Charité Mitte
Berlin, 10117
Universitaetsklinikum Carl Gustav Carus TU
Dresden, Saxony, 01307
Universitaetsklinikum Erlangen
Erlangen, Bavaria, 91054
Universitaetsklinikum Halle (Saale)
Halle, Saxony-Anhalt, 06120
Universitaetsklinikum Muenster
Münster, North Rhine-Westphalia, 48149
Klinikum Oldenburg AoeR
Oldenburg, Lower Saxony, 26133
Spain6 sites
Hospital del Mar
Barcelona, 8003
Hospital de la Santa Creu i Sant Pau
Barcelona, 8041
Hospital Universitario Reina Sofia
Córdoba, Córdoba, 14004
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Universitario Rio Hortega
Valladolid, Cantabria, 47012
France5 sites
CHU de Caen - Hopital de la Cote de Nacre
Caen, Calvados, 14033
Hopital Edouard Herriot - CHU Lyon
Lyon, Rhone, 69003
Hopital Saint Eloi
Montpellier, Herault, 34295
Hopital Tenon
Paris, 75020
Hopital Larrey
Toulouse, Haute Garonne, 31059
Philippines5 sites
Mary Mediatrix Medical Center
Lipa City, Batangas, 4127
University of the Philippines Manila - Philippine General Hospital
Manila, 1000
Jose R. Reyes Memorial Medical Center
Manila, 1012
St. Luke's Medical Center
Quezon City, National Capital Region (ncr), 1102
Lorma Medical Center
San Fernando City, La Union, La Union, 2500
Argentina4 sites
APRILLUS Asistencia e Investigacion
Buenos Aires, C1406AGA
Instituto CAICI
Rosario, Santa Fe Province, S2000PBJ
Investigaciones Clinicas Tucuman
San Miguel de Tucumán, Tucumán Province, 4000
Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, Tucumán Province, T4000AXL
Bulgaria3 sites
University Multiprofile Hospital for Active Treatment Sv Ivan Rilski EAD
Sofia, Sofia City Province, 1612
DCC 'Alexandrovska', EOOD
Sofia, 1431
DCC Focus 5 - MEOH OOD
Sofia, 1463
Chile3 sites
Centro Medico SkinMed
Las Condes, 7580206
CIEC - Centro Internacional de Estudios Clínicos
Santiago, 8420383
Clinical Research Chile SpA
Valdivia, 5090000
Mexico3 sites
Investigacion y Biomedicina de Chihuahua, S.C.
Chihuahua City, 31000
Centro de investigacion medica y reumatologia
Guadalajara, 44950
Clinstile, S.A. de C.V.
Mexico City, Mexico City, 06700
South Korea3 sites
Severance Hospital, Yonsei University Health System
Seoul, 03722
Hanyang University Seoul Hospital
Seoul, 04763
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
United Kingdom3 sites
Queen Elizabeth Hospital
Birmingham, West Midlands, B15 2GW
Chapel Allerton Hospital
Chapel Allerton, West Yorkshire, LS7 4SA
Whipps Cross University Hospital
London, Greater London, E11 1NR
Canada2 sites
Laser Rejuvenation Clinics, Inc.
Calgary, Alberta, T2W 4X9
DIEX Recherche Sherbrooke Inc.
Sherbrooke, Quebec, J1L 0H8
Colombia2 sites
Centro de Investigacion Medico Asistencial S.A.S
Barranquilla, 80020
Healthy Medical Center
Zipaquirá, Cundinamarca, 250252
Italy2 sites
Università degli studi di Firenze
Florence, 50121
Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
Milan, 20122
Poland2 sites
Uniwersytecki Szpital Kliniczny im.Fryderyka Chopina w Rzeszowie
Rzeszów, Podkarpackie Voivodeship, 35-055
Royalderm_Warszawa
Warsaw, Masovian Voivodeship, 02-962
Serbia2 sites
Institute of Rheumatology_Belgrade
Belgrade, 11000
University Clinical Center of Serbia
Belgrade, 11000
Switzerland2 sites
Centre Hospitalier Universitaire Vaudois (CHUV)
Lausanne, Lucerne (Luzern), CH-1011
Kantonsspital St. Gallen
Sankt Gallen, 9007
Taiwan2 sites
Taichung Veterans General Hospital
Taichung, 407219
Taipei Veterans General Hospital
Taipei, 11217
Portugal1 site
Centro Hospitalar e Universitário de Coimbra, E.P.E (HUC)
Coimbra, Coimbra District, 3000-075
About this study
Official title: A Multicenter, Open-Label, Single-Arm, Phase 3, Long-Term Extension Study to Evaluate Continuous Safety and Efficacy of BIIB059 (Litifilimab) in Adult Participants With Active Subacute Cutaneous Lupus Erythematosus and/or Chronic Cutaneous Lupus Erythematosus With or Without Systemic Manifestations and Refractory and/or Intolerant to Antimalarial Therapy
In this study, researchers will learn more about a study drug called BIIB059 (litifilimab) in participants with cutaneous lupus erythematosus (CLE). The study will focus on participants who have either active subacute CLE or chronic CLE, or both. They may also have systemic lupus erythematosus (SLE). The participants did not respond to antimalarial therapy or had problems with the treatment that made it hard to continue.
The study will enroll only those participants who have completed treatment with litifilimab in the parent study, 230LE301.
Read more
The main objective of the study is to learn more about the long-term safety of litifilimab.
The main question researchers want to answer is:
- How many participants have adverse events and serious adverse events after taking litifilimab? Adverse events are health problems that may or may not be caused by the study drug.
Researchers will also learn more about the effect of litifilimab on CLE. They will do this by measuring the symptoms of CLE over time using a variety of scoring tools. These include the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI), the Cutaneous Lupus Activity of Investigator's Global Assessment-Revised (CLA-IGA-R), and the SELENA-SLEDAI Flare Index (SFI).
Researchers will look at how litifilimab and CLE affect the quality of life of participants using a group of questionnaires. They will also look at how litifilimab affects laboratory tests and how participants' immune systems respond to litifilimab.
The study will be done as follows:
- The last visit of parent study 230LE301 will be the first visit of study 230LE305.
- All participants will receive litifilimab as an injection under the skin once every 4 weeks. Both researchers and participants will know the dose and identity of the study drug.
- Globally, the treatment period will last up to 208 weeks, or 4 years. Participants will have up to 53 study visits during this time.
Read the detailed description
The primary objective of the study is to evaluate the long-term safety and tolerability BIIB059 (litifilimab) in participants who completed the parent study 230LE301 (NCT05531565) with active subacute CLE and/or chronic CLE with or without systemic manifestations and refractory and/or intolerant to antimalarial therapy.
The secondary objectives of the study are to evaluate the long-term effect of litifilimab on disease activity and the effect of litifilimab in preventing disease damage in participants with active subacute CLE and/or chronic CLE with or without systemic manifestations and refractory and/or intolerant to antimalarials; to evaluate the long-term effect of litifilimab on preventing lupus flare in participants with CLE with SLE; to assess long-term use of oral corticosteroid (OCS) in participants receiving litifilimab treatment; to assess the impact of litifilimab on participant-reported health-related quality of life (HRQoL); to evaluate long-term effect of litifilimab on laboratory parameters; to evaluate the immunogenicity and pharmacokinetics (PK) of litifilimab.
- Being tested
- BIIB059 (litifilimab)
- Medical subject headings
- Lupus Erythematosus, Cutaneous, Lupus Erythematosus, Discoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BIIB059 (litifilimab)Drug
Also called litifilimab
Administered as specified in the treatment arm.
| Study group | Role | What they receive |
|---|---|---|
| BIIB059 | Experimental | Participants will receive BIIB059 (litifilimab) subcutaneously (SC), once every 4 weeks up to Week 204 in the LTE period. Receives: Drug: BIIB059 (litifilimab) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Measured: Up to 232 weeks
Secondary outcomes (35)
Percentage of Participants who Achieve a Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity Score (CLASI)-70 Response, Defined as a 70% Decrease in CLASI-A Score From the Baseline Value (Parent Study [NCT05531565])
Measured: Up to 232 weeks
Percentage of Participants who Achieve a CLASI-50 Response, Defined as a 50% Decrease in CLASI-A Score From the Baseline Value (Parent Study [NCT05531565])
Measured: Up to 232 weeks
Percentage of Participants who Achieve a CLASI-90 Response, Defined as a 90% Decrease in CLASI-A Score From the Baseline Value (Parent Study [NCT05531565])
Measured: Up to 232 weeks
Percentage of Participants who Achieve a Cutaneous Lupus Activity of Physician's Global Assessment-Revised (CLA-IGA-R) Erythema Score of 0 or 1
Measured: Up to 232 weeks
Percentage of Participants who Achieve a CLA-IGA-R Other Morphologic Characteristics (OMC) Score of 0
Measured: Up to 232 weeks
Percentage of Participants With a CLASI-70 Response Among CLASI-70 Responders at Long-Term Extension (LTE) Baseline
Measured: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLASI-50 Response Among CLASI-50 Responders at LTE Baseline
Measured: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLASI-90 Response Among CLASI-90 Responders at LTE Baseline
Measured: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLA-IGA-R Erythema Score of 0 or 1 Among Participants With a CLA-IGA-R Erythema Score of 0 or 1 at LTE Baseline
Measured: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With CLA-IGA-R OMC Score of 0 or 1 and at Least 1 Level of Improvement From Baseline Value(Parent Study) Among Participants With CLA IGA R OMC Score of 0 or 1 and at Least 1 Level Improvement From Baseline Value(Parent Study)
Measured: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLASI-70 Response Among CLASI-50 Responders at LTE Baseline
Measured: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With Loss of Response, Defined as an Increase of ≥ 7 Points in CLASI-A Total Score From Baseline
Measured: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants who Achieve a CLASI A Score of 0 to 3
Measured: Up to 232 weeks
Percentage of Participants who Achieve a CLASI-A Score of 0 to 5
Measured: Up to 232 weeks
Percentage of Participants With a CLASI-A 0 to 3 Response Among CLASI-A 0 to 3 Responders at LTE Baseline
Measured: Day 1 (LTE Baseline) up to 232 weeks
Absolute Change From Baseline in CLASI-A Score of Parent Study (NCT05531565) to Week 208
Measured: Day 1 (Baseline of Parent study) up to 208 weeks
Percent Change From Baseline in CLASI-A Score of Parent Study (NCT05531565) to Week 208
Measured: Day 1 (Baseline of Parent study) up to 208 weeks
Absolute Change in Cutaneous Lupus Erythematosus Disease Area and Severity Index Damage (CLASI-D) Score From Baseline Value (Parent Study [NCT05531565]) to Week 208
Measured: Up to 208 weeks
Percent Change in CLASI-D Score From Baseline Value (Parent Study [NCT05531565]) to Week 208
Measured: Up to 208 weeks
Annualized Mild/Moderate and Severe Safety of Estrogens in Lupus Erythematosus National Assessment-SLE Disease Activity Index Flare Index (SFI) Rates
Measured: Up to 208 weeks
Percentage of Participants With Oral Corticosteroid (OCS) Dose Among Participants who Used OCS at Baseline in the Parent Study (NCT05531565)
Measured: Day 1 (Baseline of Parent study) up to 208 weeks
Percentage of Participants With OCS ≤ 7.5 Milligrams per day (mg/day) Among Participants who Used OCS at Baseline in the Parent Study (NCT05531565)
Measured: Day 1 (Baseline of Parent study) up to 208 weeks
Percentage of Participants With OCS ≤ 5.0 mg/day Among Participants who Used OCS at Baseline in the Parent Study (NCT05531565)
Measured: Day 1 (Baseline of Parent study) up to 208 weeks
Change From Baseline Value (Parent Study [NCT05531565]) in Cutaneous Lupus Erythematosus - Quality of Life (CLE-QoL) at Week 208
Measured: Baseline, Week 208
Change From Baseline Value (Parent Study [NCT05531565]) in European Quality of Life - 5-Dimensions Questionnaire, 3-Level Version (EQ-5D-3L) at Week 104
Measured: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in 36-Item Short Form Survey (SF-36) (acute version) at Week 104
Measured: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in Work Productivity and Activity Impairment (WPAI): Lupus at Week 104
Measured: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in Patient Health Questionnaire-9 (PHQ-9) at Week 104
Measured: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in Subject Global Assessment of Skin - Follow-up (SGA-Skin-FU) at Week 208
Measured: Baseline, Week 208
Change From Baseline Value (Parent Study [NCT05531565]) in Numerical Rating Scale (NRS) for Pain in Skin Rash at Week 208
Measured: Baseline, Week 208
Change From Baseline Value (Parent Study [NCT05531565]) in Numerical Rating Scale (NRS) for Itch in Skin Rash at Week 208
Measured: Baseline, Week 208
Number of Participants With Clinically Relevant Change From Baseline Value (Parent Study [NCT05531565]) in Standard Laboratory Parameters
Measured: Up to 208 weeks
Number of Participants With Clinically Relevant Change From Baseline Value (Parent Study [NCT05531565]) in Electrocardiogram (ECG) Results
Measured: Up to 232 weeks
Number of Participants With Anti-BIIB059 Antibodies in Serum
Measured: Up to 232 weeks
Serum Concentration of Litifilimab
Measured: Pre-dose up to 232 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Sep 2023
- Study start3 Oct 2023
- Primary completion26 Jun 2029 (estimated)
- Study completion11 Dec 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Subacute Cutaneous Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by BiogenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 306 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06044337
- Sponsor's protocol ID
- 230LE305
- Other IDs
- 2023-504863-17, 2023
- Acronym
- AMETHYST LTE
- Status last verified
- Aug 2026
- First submitted
- 23 Aug 2023
- Last updated
- 4 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
Study at a glance
From the registry record, last updated by the sponsor on 4 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label, Single-Arm, Phase 3, Long-Term Extension Study to Evaluate Continuous Safety and Efficacy of BIIB059 (Litifilimab) in Adult Participants With Active Subacute Cutaneous Lupus Erythematosus and/or Chronic Cutaneous Lupus Erythematosus With or Without Systemic Manifestations and Refractory and/or Intolerant to Antimalarial Therapy
- ClinicalTrials.gov ID
- NCT06044337
- Acronym / sponsor ID
- AMETHYST LTE / 230LE305
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 306 participants (estimated)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- 3 Oct 2023 (actual)
- Primary completion
- 26 Jun 2029 (estimated)
- Study completion
- 11 Dec 2029 (estimated)
- First posted
- 21 Sep 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this study, researchers will learn more about a study drug called BIIB059 (litifilimab) in participants with cutaneous lupus erythematosus (CLE). The study will focus on participants who have either active subacute CLE or chronic CLE, or both. They may also have systemic lupus erythematosus (SLE). The participants did not respond to antimalarial therapy or had problems with the treatment that made it hard to continue.
The study will enroll only those participants who have completed treatment with litifilimab in the parent study, 230LE301.
The main objective of the study is to learn more about the long-term safety of litifilimab.
The main question researchers want to answer is:
- How many participants have adverse events and serious adverse events after taking litifilimab? Adverse events are health problems that may or may not be caused by the study drug.
Researchers will also learn more about the effect of litifilimab on CLE. They will do this by measuring the symptoms of CLE over time using a variety of scoring tools. These include the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI), the Cutaneous Lupus Activity of Investigator's Global Assessment-Revised (CLA-IGA-R), and the SELENA-SLEDAI Flare Index (SFI).
Researchers will look at how litifilimab and CLE affect the quality of life of participants using a group of questionnaires. They will also look at how litifilimab affects laboratory tests and how participants' immune systems respond to litifilimab.
The study will be done as follows:
- The last visit of parent study 230LE301 will be the first visit of study 230LE305.
- All participants will receive litifilimab as an injection under the skin once every 4 weeks. Both researchers and participants will know the dose and identity of the study drug.
- Globally, the treatment period will last up to 208 weeks, or 4 years. Participants will have up to 53 study visits during this time.
Detailed description
The primary objective of the study is to evaluate the long-term safety and tolerability BIIB059 (litifilimab) in participants who completed the parent study 230LE301 (NCT05531565) with active subacute CLE and/or chronic CLE with or without systemic manifestations and refractory and/or intolerant to antimalarial therapy.
The secondary objectives of the study are to evaluate the long-term effect of litifilimab on disease activity and the effect of litifilimab in preventing disease damage in participants with active subacute CLE and/or chronic CLE with or without systemic manifestations and refractory and/or intolerant to antimalarials; to evaluate the long-term effect of litifilimab on preventing lupus flare in participants with CLE with SLE; to assess long-term use of oral corticosteroid (OCS) in participants receiving litifilimab treatment; to assess the impact of litifilimab on participant-reported health-related quality of life (HRQoL); to evaluate long-term effect of litifilimab on laboratory parameters; to evaluate the immunogenicity and pharmacokinetics (PK) of litifilimab.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| BIIB059 | Experimental | Drug: BIIB059 (litifilimab)Participants will receive BIIB059 (litifilimab) subcutaneously (SC), once every 4 weeks up to Week 204 in the LTE period. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Participants who completed the parent study (230LE301 [NCT05531565], Part A or Part B) on study treatment (received treatment through Week 48 and attended the last study assessment visit at Week 52).
- Ability of the participant to understand the purpose and risks of the study, to provide informed consent, and to authorize the use of confidential health information in accordance with national and local privacy regulations.
Key exclusion criteria (4 listed)
- Early Part A or Part B parent study (230LE301 [NCT05531565]) treatment terminators (participants who discontinued study treatment before Week 48).
- Early Part A or Part B parent study terminators [participants who withdrew from parent study participation before Week 52 and did not complete the parent study extended treatment period (ETP)].
- Participants who have developed any other medical diseases, conditions, or abnormalities, rendering their participation in the long-term extension (LTE) study unsuitable in the opinion of the Investigator.
- NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BIIB059 (litifilimab)Also: litifilimabAdministered as specified in the treatment arm. | Drug | BIIB059 |
Primary outcome
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Up to 232 weeks
35 secondary outcomes
Percentage of Participants who Achieve a Cutaneous Lupus Erythematosus Disease Area and Severity Index Activity Score (CLASI)-70 Response, Defined as a 70% Decrease in CLASI-A Score From the Baseline Value (Parent Study [NCT05531565])
Time frame: Up to 232 weeks
Percentage of Participants who Achieve a CLASI-50 Response, Defined as a 50% Decrease in CLASI-A Score From the Baseline Value (Parent Study [NCT05531565])
Time frame: Up to 232 weeks
Percentage of Participants who Achieve a CLASI-90 Response, Defined as a 90% Decrease in CLASI-A Score From the Baseline Value (Parent Study [NCT05531565])
Time frame: Up to 232 weeks
Percentage of Participants who Achieve a Cutaneous Lupus Activity of Physician's Global Assessment-Revised (CLA-IGA-R) Erythema Score of 0 or 1
Time frame: Up to 232 weeks
Percentage of Participants who Achieve a CLA-IGA-R Other Morphologic Characteristics (OMC) Score of 0
Time frame: Up to 232 weeks
Percentage of Participants With a CLASI-70 Response Among CLASI-70 Responders at Long-Term Extension (LTE) Baseline
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLASI-50 Response Among CLASI-50 Responders at LTE Baseline
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLASI-90 Response Among CLASI-90 Responders at LTE Baseline
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLA-IGA-R Erythema Score of 0 or 1 Among Participants With a CLA-IGA-R Erythema Score of 0 or 1 at LTE Baseline
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With CLA-IGA-R OMC Score of 0 or 1 and at Least 1 Level of Improvement From Baseline Value(Parent Study) Among Participants With CLA IGA R OMC Score of 0 or 1 and at Least 1 Level Improvement From Baseline Value(Parent Study)
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With a CLASI-70 Response Among CLASI-50 Responders at LTE Baseline
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants With Loss of Response, Defined as an Increase of ≥ 7 Points in CLASI-A Total Score From Baseline
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Percentage of Participants who Achieve a CLASI A Score of 0 to 3
Time frame: Up to 232 weeks
Percentage of Participants who Achieve a CLASI-A Score of 0 to 5
Time frame: Up to 232 weeks
Percentage of Participants With a CLASI-A 0 to 3 Response Among CLASI-A 0 to 3 Responders at LTE Baseline
Time frame: Day 1 (LTE Baseline) up to 232 weeks
Absolute Change From Baseline in CLASI-A Score of Parent Study (NCT05531565) to Week 208
Time frame: Day 1 (Baseline of Parent study) up to 208 weeks
Percent Change From Baseline in CLASI-A Score of Parent Study (NCT05531565) to Week 208
Time frame: Day 1 (Baseline of Parent study) up to 208 weeks
Absolute Change in Cutaneous Lupus Erythematosus Disease Area and Severity Index Damage (CLASI-D) Score From Baseline Value (Parent Study [NCT05531565]) to Week 208
Time frame: Up to 208 weeks
Percent Change in CLASI-D Score From Baseline Value (Parent Study [NCT05531565]) to Week 208
Time frame: Up to 208 weeks
Annualized Mild/Moderate and Severe Safety of Estrogens in Lupus Erythematosus National Assessment-SLE Disease Activity Index Flare Index (SFI) Rates
Time frame: Up to 208 weeks
Percentage of Participants With Oral Corticosteroid (OCS) Dose Among Participants who Used OCS at Baseline in the Parent Study (NCT05531565)
Time frame: Day 1 (Baseline of Parent study) up to 208 weeks
Percentage of Participants With OCS ≤ 7.5 Milligrams per day (mg/day) Among Participants who Used OCS at Baseline in the Parent Study (NCT05531565)
Time frame: Day 1 (Baseline of Parent study) up to 208 weeks
Percentage of Participants With OCS ≤ 5.0 mg/day Among Participants who Used OCS at Baseline in the Parent Study (NCT05531565)
Time frame: Day 1 (Baseline of Parent study) up to 208 weeks
Change From Baseline Value (Parent Study [NCT05531565]) in Cutaneous Lupus Erythematosus - Quality of Life (CLE-QoL) at Week 208
Time frame: Baseline, Week 208
Change From Baseline Value (Parent Study [NCT05531565]) in European Quality of Life - 5-Dimensions Questionnaire, 3-Level Version (EQ-5D-3L) at Week 104
Time frame: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in 36-Item Short Form Survey (SF-36) (acute version) at Week 104
Time frame: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in Work Productivity and Activity Impairment (WPAI): Lupus at Week 104
Time frame: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in Patient Health Questionnaire-9 (PHQ-9) at Week 104
Time frame: Baseline, Week 104
Change From Baseline Value (Parent Study [NCT05531565]) in Subject Global Assessment of Skin - Follow-up (SGA-Skin-FU) at Week 208
Time frame: Baseline, Week 208
Change From Baseline Value (Parent Study [NCT05531565]) in Numerical Rating Scale (NRS) for Pain in Skin Rash at Week 208
Time frame: Baseline, Week 208
Change From Baseline Value (Parent Study [NCT05531565]) in Numerical Rating Scale (NRS) for Itch in Skin Rash at Week 208
Time frame: Baseline, Week 208
Number of Participants With Clinically Relevant Change From Baseline Value (Parent Study [NCT05531565]) in Standard Laboratory Parameters
Time frame: Up to 208 weeks
Number of Participants With Clinically Relevant Change From Baseline Value (Parent Study [NCT05531565]) in Electrocardiogram (ECG) Results
Time frame: Up to 232 weeks
Number of Participants With Anti-BIIB059 Antibodies in Serum
Time frame: Up to 232 weeks
Serum Concentration of Litifilimab
Time frame: Pre-dose up to 232 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Aug 2026.
- Individual participant dataSharing planned: Yes. In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Medical Director study director
Biogen
104 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BIIB059 (litifilimab) in people with Subacute Cutaneous Lupus Erythematosus and Chronic Cutaneous Lupus Erythematosus, run by Biogen at 104 sites in 25 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: enrolling by invitation, as of the sponsor's last update on 4 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 104 sites in Japan, United States, Brazil, China, Germany and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) (time frame: Up to 232 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Aug 2026; AzTrials last refreshed its copy on 26 Oct 2026.